Organization
SUNDANCE COMFORT LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA RICCHIAZZI LVN (LVN ADMINISTRATOR)
(626) 235-2988
Entity
Organization
Contact information
Practice address
68430 RISUENO RD, CATHEDRAL CITY, CA 92234-8803
(626) 235-2988
Mailing address
1322 ALAMEDA AVE, GLENDALE, CA 91201-1120
(626) 235-2988
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
—
—
251G00000X
Community Based Hospice Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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